Individual
DAVID M LARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2223 E BASELINE RD, SUITE A, GILBERT, AZ 85234-2325
(480) 835-5302
(480) 844-2081
Mailing address
2223 E BASELINE RD, SUITE A, GILBERT, AZ 85234-2325
(480) 835-5302
(480) 844-2081
Taxonomy
Speciality
Code
Description
License number
State
208C00000X
Colon & Rectal Surgery Physician
Primary
12943
AZ
Other
Enumeration date
08/16/2005
Last updated
05/17/2011
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